What is it about?
Mesh has been occasionally indicated in patients with large diaphragmatic defects. Mesh migration is considered rare but the gravest complication of mesh repairs. We present a case of a gastrocutaneous fistula due to late mesh migration in a 63-year-old female after traumatic diaphragmatic rupture repair with synthetic mesh. To the best of our knowledge, our case is the first in which mesh that had migrated into the stomach was the cause of the non-healing gastrocutaneous fistula.
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Why is it important?
Although mesh reconstruction is rarely used to treat traumatic diaphragmatic rupture, it should be considered for clinical practice due to the risk of synthetic mesh erosion and migration. The severe potential morbidity linked to synthetic mesh repair is highlighted in this case.
Perspectives
There is an increasingly evident ‘mesh problem’ and a more standardised approach to testing meshes is clearly required.
Yuan Zhang
Read the Original
This page is a summary of: Gastrocutaneous fistula caused by mesh migration following diaphragmatic rupture repair, ANZ Journal of Surgery, October 2022, Wiley,
DOI: 10.1111/ans.18082.
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